Request for Downtown Activity
Information required for Board of Aldermen’s Consideration
Applicant Details
Name(s) of Applicant
Business or Organization
(if any)
Applicant’s Address
Applicant’s Contact Phone
Applicant’s E-Mail Address
Event Details
Type of Event
(Provide details about the
event)
Dates and Time of Event
Streets to be Closed
(if any may add list on
separate page)
Services needed from the
City
Item:
How Many:
Trash Cans
Picnic Tables
Barricades
Trash Pickup During Event
How Often:
Any Other Service
Event Details regarding Alcohol
Indicate if alcohol will be
sold or served.
(A Festival License and Liquor
License will be required for
sale of alcohol.)
Contact the City Clerk at
573-547-2594
for more information
Event Details regarding Music
Indicate if music will be
provided for the event.
(Note: Music must end by no
later than 11:00 pm)
Downtown Plaza
(If the Downtown Plaza will be
used, please contact the Parks
& Recreation Department at
573-547-7275 to reserve the
Plaza)
Event Details (continued)
Please summarize your
“Clean Up Plan” for this
event
Applicant is responsible
for providing porta-potties
if needed for event.
Yes, Will Provide No, Not Needed
If vendors will be present,
please provide the following
information:
(see vendor list below)
Name of Vendor
Address
Phone #:
Note: All food providers must have all necessary licenses to sell food and be approved by the
Perry County Health Department
Submittal of Request
Thank you for completing this request form. To have this matter placed on the Board of Aldermen’s agenda,
submit to City Clerk Tracy Prost, 215 North West Street, Perryville, MO 63775 or via e-mail at
tracyprost@cityofperryville.com. Please contact City Administrator Brent Buerck or City Clerk Tracy Prost
with any questions 573-547-2594.
The City Administrator or his designee will present this request to the Board of Aldermen at the first available
meeting, currently scheduled for the 1
st
and 3
rd
Tuesday of each month.
To check available dates for Downtown activities, contact EDA Director Scott Sattler at 573-547-1097 or
perryedasattler@gmail.com
Decision by City
The Board of Aldermen has reviewed this request and the application is hereby:
Approved
Denied
Name (printed)
Signature
Date